Suzette Elise Benecke, RN, CLE, CCL,

Primary specialty

Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X

License

NV22619 Issued in NV

Practice address

2628 Elizabeth Pkwy
Fallon, NV 89406-5895

Phone

(775) 835-9190

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1205469285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 ELIZABETH PKWY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065895",
            "telephone_number": "775-835-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 ELIZABETH PKWY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065895",
            "telephone_number": "775-835-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENECKE",
        "first_name": "SUZETTE",
        "middle_name": "ELISE",
        "credential": "RN, CLE, CCL,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NV",
            "license": "CCL-771252",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NV",
            "license": "NV22619",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NV",
            "license": "7-201712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lorene Bateman
• Be Empowered Health and Wellness LLC
• Be Empowered Health and Wellness LLC
• Be Empowered Healthand Wellness
• William E Beckman III, M.D.
• David G. Bennett, PA-C
• Desarae M Bernard
• Rochelle Binnell
• Lynn Alger Bishop, DC
• Laurie G Bissett, R.D.

• Inpatient Obstetric Registered Nurse in Fallon, NV
• Providers in Fallon, NV by specialty
• Inpatient Obstetric Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.